JAMES LEE GENDREAU

PORTLAND, OR
NPI1265056626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG198858)
Enumeration Date2020-06-02
Last Update Date2020-06-02
Business Address
JAMES LEE GENDREAU MD
5050 NE HOYT ST STE 540
PORTLAND, OR 97213-2985
Phone number: 503-215-6600
Mailing Address
JAMES LEE GENDREAU MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494